Northeastern University - Future Healthcare Payment Models
- Offered byCoursera
- Public/Government Institute
Future Healthcare Payment Models at Coursera Overview
Duration | 16 hours |
Total fee | Free |
Mode of learning | Online |
Difficulty level | Beginner |
Official Website | Explore Free Course  |
Credential | Certificate |
Future Healthcare Payment Models at Coursera Highlights
- This Course Plus the Full Specialization.
- Shareable Certificates.
- Graded Programming Assignments.
Future Healthcare Payment Models at Coursera Course details
- This course will review the drivers of healthcare cost and solutions that have been proposed to address cost, quality and value of health care. Many point blame for high costs on payment models that pay healthcare providers for every service they provide to patients, essentially paying more for volume and service intensity. This is called a Fee for Service (FFS) payment model. Some solutions, arguably the more sustainable solutions, are the combined strategies of new payment models, care management, insurance plan designs, consumer engagement tools, and technology.
- Using that information we will explore various situations, showcasing coordinated care and payment strategies that can be implemented to improve patient health and the cost of delivery of healthcare services.
- By the end of this course, the learner should be able to:
- 1. Identify the drivers and trends of healthcare spending from the perspective of various stakeholders, including medical providers, insurers, government and private purchasers and payments
- 2. Critically assess the impact of strategic and financial approaches that have been put in place by the ACA and the various modifications.
- 3. Evaluate how healthcare payment models currently work and the new direction that value-based payment is taking.
- 4.Identify how financial and non-financial metrics can be appropriately combined to improve a healthcare stakeholders? value proposition.
Future Healthcare Payment Models at Coursera Curriculum
Current Healthcare Spend and Trend
Course Introduction
Introduction to Module 1
What's the Fuss? Part 1
What's the Fuss? Part 2
Stakeholders
Healthcare Differs from Other Transactions
Sources of Funds
Uses of Funds
Healthcare Spend
Healthcare Trend
Article Intro: "Cost Conundrum"
Consumer Perspective: Person-on-the-Street Interview: Cathy
Consumer Perspective: Person-on-the-Street Interview: Keith
The Cost Conundrum
Check Your Knowledge
Check Your Knowledge
Week 1 Quiz (Graded)
I Thought we were done with this: Insurance Markets
Week 2 Introduction
How Does Insurance Work?
Risk Pooling
Selection Impact on Risk Pools and Premium Costs
Background on U.S. Health Insurance
Affordable Care Act
Access to Insurance
Interview with Mark Guanya: Part 1
Medicare Changes
Insurance Sources
Benefits
Article Introduction: "The Bitter Pill"
The Bitter Pill
Check Your Knowledge
Check Your Knowledge
Week 2 Quiz (Graded)
Value-Based Payment Models
Week 3 Introduction
Contractual Reforms to Address Cost and Trend
Managed Care
Article Introduction: Dealing with Medical Practice Variations
Fee-for-Service Payment Models
Bundled Payments
Healthcare Differences
Medical Homes
Capitation or Salary
Reference Pricing and the Consumer
What Drives Results?
Interview with Mark Guanya: Part 2
Dealing with Medical Practice Variations: A Proposal for Action
CMS Vignettes
Check Your Knowledge
Check Your Knowledge
Week 3 Quiz (Graded)
Evolving Integrated Models: Putting It All Together
Week 4 Introduction
Congestive Heart Failure (CHF)
Article Introduction
Spine Care
Bundles
Article Introduction
Iora Health
Course Summary
Overkill: An avalanche of unnecessary medical care is harming patients physically and financially. What can we do about it?
The Last Company You Would Expect is Reinventing Health Benefits
Check Your Knowledge
Check Your Knowledge
Other courses offered by Coursera
Student Forum
Anything you would want to ask experts?
Useful Links
Know more about Coursera
Know more about Programs
- Medical Courses
- Public Health & Management
- Hospital Management Course
- Perfusion Technology
- Diabetology
- Dialysis Technology
- BSc Operation Theatre Technology
- BSc in Perfusion Technology
- BSc Physician Assistant
- Physician Assistant
- BSc in Respiratory Care Technology
- Pediatrics Courses
- Echo Cardiology & Cardiac Technology
- Clinical Data Management
- Pharmacovigilance